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olevs committed Jan 15, 2024
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Expand Up @@ -102,12 +102,13 @@ set of 2D diagrams suitable for use during planning.

# Overview of SlicerLiver

SlicerLiver is separated into the following four sections:
SlicerLiver is separated into the following five sections:

- Distance Map Computation
- Resections
- Resctogram
- Liver Segments
- Resection Volumetry

Each section is oriented towards one part of the liver resection planning workflow but,
if desired, can work independently of the other ones.
Expand All @@ -130,12 +131,16 @@ in the different vessel systems in these territories.
These vascular territories with corresponding vessel segments are then used to calculate
and visuzalize different liver segments.

**Resection Volumetry**
A tool for calculating segment sizes.

# Prelinimary results

**Improved Definition of Virtual Resections**
We developed computer-aided preoperative planning systems \autoref{fig:1},
SlicerLiver contain computer-aided preoperative planning systems,
streamlining the resection planning process and introducing
real-time 3D cutting path visualization [@Aghayan:2023]. Our approach empowers surgeons to make decisions based on individual patient
real-time 3D cutting path visualization [@Aghayan:2023], shown in \autoref{fig:1}.
Our approach empowers surgeons to make decisions based on individual patient
needs, enhancing outcomes for both atypical and anatomical
resections. Notably, our proposed new resection method
aims to obtain better parenchyma preservation compared to
Expand All @@ -144,8 +149,8 @@ existing methods.
![Specification of a virtual resection with visualization of safety margins.\label{fig:1}](Screenshots/Slicer-Liver_screenshot_04.png)

**Improved Visualization of Virtual Resections**
We successfully implemented the Resectograms method \autoref{fig:2},
a real-time 2D representation of resections into SlicerLiver [@Meng:2023].
The Resectograms method is also implemented in SlicerLiver,
a real-time 2D representation of resections [@Meng:2023], see example in \autoref{fig:2}.
The Resectogram provides an intuitive and occlusionfree visualization of virtual liver resection plans, with three
components: resection cross-section, resection anatomy segments, and resection safety margins. Notably, Resectograms
effectively identify and characterize invalid resection types due
Expand All @@ -158,7 +163,7 @@ improved patient outcomes.

**Improved Classification of Liver Segments**
The functionality of SlicerLiver also includes a novel approach to
segment liver functional segments [@{d'Albenzio:2023}] \autoref{fig:3}. The method
segment liver functional segments [@{d'Albenzio:2023}], see \autoref{fig:3}. The method
uses the liver morphology, the interior vascular network,
and user-defined landmarks to provide enhanced flexibility in
marker placement, distinguishing it from existing methods. By
Expand All @@ -172,7 +177,7 @@ marking process, are needed, our approach holds significant
promise for improving liver surgery planning and has the
potential to optimize surgical outcomes.

![Visializing liver segments based on marking hepatic and portal vessels around tumor.\label{fig:3}](Screenshots/JossFigure3.png)
![Visializing liver segments based on marking hepatic and portal vessel segments around the tumor.\label{fig:3}](Screenshots/JossFigure3.png)

# Acknowledgements
This work was conducted as part of the ALive project, funded by the Research Council of Norway under IKTPLUSS (grant nr. 311393).
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